进食方式与老年住院患者坐起能力的相关性研究

Study on correlation between feeding methods and sitting ability in elderly inpatients

中文关键词: 老年  进食方式  坐起能力  鼻饲  康复  营养

英文关键词: elderly  feeding method  sitting ability  nasal feeding  rehabilitation  nutrition

中文摘要:

      目的 探讨进食方式与老年住院患者坐起能力的关系.方法 回顾性分析2023年5月-2024年3月在上海市普陀区利群医院老年科住院的169例老年患者的临床资料.将所有患者按照进食方式分为口进食组(n=102)和鼻饲组(n=67).观察并比较2组患者的一般资料和坐起能力,并应用二元Logistic回归方法分析进食方式、年龄、性别和疾病类型对坐起能力的影响.结果 与口进食组相比,鼻饲组患者的年龄更大、卧床时间更长、脑卒中和脑卒中合并其他疾病的比例更高,差异均有统计学意义(均P＜0.05).鼻饲组患者的坐起能力显著低于口进食组(P＜0.001).Logistic回归分析显示,鼻饲进食(OR=0.007,95％CI:0.001～0.055)、年龄≥85 岁(OR=0.257,95％CI:0.081～0.819)、脑卒中合并呼吸/心血管疾病(OR=0.140,95％CI:0.025～0.789)是坐起能力差的独立危险因素(均P＜0.05).结论 鼻饲进食方式、高龄和脑卒中合并其他疾病可能是老年住院患者坐起能力差的独立危险因素.针对不同特点的患者,可采取个体化的康复和营养干预措施.

英文摘要:

      Objective To investigate the relationship between feeding methods and sitting ability in elderly inpatients.Methods A retrospective analysis was conducted on the clinical data of 169 elderly patients hospitalized in Department of Geri-atrics of Liqun Hospital from May 2023 to March 2024.They were divided into oral feeding group(n=102)and nasal feeding group(n=67)according to their feeding methods.The general information and sitting ability of the two groups were observed and compared.Binary Logistic regression method was used to analyze the effects of feeding methods,age,gender and disease type on sitting ability.Results Compared with the oral feeding group,patients in the nasal feeding group were older,had lon-ger bed rest time,and had a higher proportion of stroke and stroke complicated with other diseases,with statistically significant differences(all P＜0.05).The sitting ability of the nasal feeding group was significantly lower than that of the oral feeding group(P＜0.001).Logistic regression analysis showed that nasal feeding(OR=0.007,95％CI:0.001-0.055),age ≥ 85 years(OR=0.257,95％CI:0.081-0.819),and stroke complicated with respiratory/cardiovascular diseases(OR=0.140,95％CI:0.025-0.789)were independent risk factors for poor sitting ability(all P＜0.05).Conclusion Nasal feeding,ad-vanced age,and stroke complicated with other diseases are independent risk factors for poor sitting ability in elderly inpatients.Individualized rehabilitation and nutritional interventions should be recommended for patients with different characteristics.